Organization · Type 2 NPI

Pacifica Augustine Road LLC

Assisted Living Facility · Jacksonville, FL

NPI number 1982172995 Active

Practice location

10660 Old Augustine Road
Jacksonville, FL 32257

Call (914) 262-4600 Map

Fax (904) 262-1939

Mailing address

1775 Hancock Street, Suite 200
San Diego, CA 92110

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed
Alzheimer Center (Dementia Center) 311500000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1982172995

Pacifica Augustine Road LLC's National Provider Identifier is 1982172995, issued on Nov 7, 2018. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 7, 2018.